cardiac patho 4

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE Step 1 Forum » Pathology Forum

cardiac patho 4

Author

7 Posts

jean robert
Forum Guru
avatar

Topics: 161
Posts: 663

12/25/07 - 05:40 PM

A 49 y.o. previously healthy female reports having had several fainting spells in the last 6 months. in each case, she regained consciousness after only a few minutes. Her BP is normal. She has good carotid pulses with no bruits. Which of the following cardiac lesions is most likely to be present?

a) Pericardial effusion

b) Left atrial myxoma

c) Bicuspid aortic valve

d) Mitral valve stenosis

e) Left anterior descending artery thrombosis

___________________
Great works are performed not by strength, but by perseverance.

GoodGirl
.
avatar

Topics: 92
Posts: 1,190

12/25/07 - 06:12 PM

C, Bicuspid Ao valve

___________________
http://www.youtube.com/watch?v=a5pnDDDzpqg&featur...

arlete
Intern in 2009!!!!!
avatar

Topics: 30
Posts: 2,212

12/25/07 - 09:33 PM

C

___________________
When men make the rules, God decides the exceptions.

new_n_lost
Politically InCorrect
avatar

Topics: 650
Posts: 6,058

12/26/07 - 01:01 AM

b) Left atrial myxoma ??

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

jean robert
Forum Guru
avatar

Topics: 161
Posts: 663

12/26/07 - 12:32 PM

Someone else want to give a try

___________________
Great works are performed not by strength, but by perseverance.

Tiff
Forum Guru

Topics: 54
Posts: 563

12/26/07 - 02:09 PM

Not C?

jean robert
Forum Guru
avatar

Topics: 161
Posts: 663

12/27/07 - 10:16 PM

new_n_lost wrote:
b) Left atrial myxoma

An atrial myxoma can have a ball valve effect that intermitently occludes the mitral valve, leading to the syncopal episodes.

Calcification of bicuspid valve can lead to stenosis with heart failure, but this condition is progressive.

___________________
Great works are performed not by strength, but by perseverance.

You don't have permission to post.